Randomised Controlled Trial Testing the Incremental Effect of Strategies That Raise Awareness, Acceptance and Performance of Identification and Brief Intervention Programmes for Harmful Alcohol Consumption in Primary Health Care
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Alcoholism
- Sponsor
- Fundacion Clinic per a la Recerca Biomédica
- Enrollment
- 120
- Locations
- 10
- Primary Endpoint
- Number of brief interventions for excessive alcohol consumption delivered in primary health care settings
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
The overall objective is to study if training and support, financial reimbursement and referral to an internet based brief intervention programme, singly or in combination, may increase implementation of evidence based methods of identification and brief intervention for excessive alcohol consumption in routine primary health care.
Detailed Description
The study will be a stepped cluster RCT in 5 countries and the endpoint of the study is the number of interventions delivered during a certain time period. More specifically, the RCT will examine: * The effect of Continuous Medical Education (CME) to PHC providers * The effect of financial reimbursement to PHC providers as a pay-for-performance of brief alcohol interventions * Whether an alternative internet based method of delivering brief intervention can increase the proportion of patients reached * If one implementation strategy will give an added value to one already enforced.
Investigators
Antoni Gual
Head of the Alcohol Unit
Hospital Clinic of Barcelona
Eligibility Criteria
Inclusion Criteria
- •Primary Health Care Units (PHCU) of approximate size of 5.000-20.000 registered patients
- •Primary Health Care Units (PHCU) located in Spain, Poland, Sweden, England or The Netherlands
- •Providers must be physicians or nurses
Exclusion Criteria
- •Primary Health Care Units with less than 5.000 registered patients or over 20.000 registered patients
Outcomes
Primary Outcomes
Number of brief interventions for excessive alcohol consumption delivered in primary health care settings
Time Frame: 5 months
Brief intervention rates will be calculated at five time points: during a four week period during the third month before the start of the study (baseline measurement), in three consecutive four week blocks during the twelve week intervention period (intervention measurement) and during a four week block during the sixth month after the end of the intervention period (follow-up measurement).
Number of screening tests carried out in primary health care settings to detect excessive alcohol consumption care
Time Frame: 5 months
Screening rates will be calculated at five time points: during a four week period during the third month before the start of the study (baseline measurement), in three consecutive four week blocks during the twelve week intervention period (intervention measurement) and during a four week block during the sixth month after the end of the intervention period (follow-up measurement).
Secondary Outcomes
- Level of role security of primary health care providers measured by their answers to the SAAPPQ instrument(3 months)
- Level of therapeutic commitment of primary health care providers measured by their answers to the SAAPPQ instrument(3 months)